| NPI | 1366914566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701008047) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001526) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2023-09-23 |